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The GPR88 Agonist RTI-122 Reduces Alcohol-Related Motivation and Consumption GPR88激动剂RTI-122降低酒精相关动机和消费
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-19 DOI: 10.1111/adb.70058
Dennis F. Lovelock, Wen Liu, Sami Ben Hamida, Victoria L. Cordero, Kalynn J. Van Voorhies, Marion Martin, Isabella Guimaraes Olmo, Emmanuel Darcq, Md Toufiqur Rahman, Mickael Naassila, Brigitte L. Kieffer, Chunyang Jin, Joyce Besheer

GPR88, an orphan G protein-coupled receptor primarily expressed in the striatum, has emerged as a potential target for treating alcohol use disorder (AUD) due to its role in modulating reward and motivational pathways. In this study, we investigated the effects of the GPR88 agonist RTI-122 on alcohol intake and motivation to self-administer alcohol under different conditions. In mice, RTI-122 reduced alcohol consumption in a two-bottle choice paradigm, which was prevented by Gpr88 knockout, confirming a GPR88-specific effect on the attenuation of alcohol drinking. In rats, RTI-122 dose-dependently reduced operant alcohol self-administration and decreased motivation to self-administer alcohol in progressive ratio tasks, regardless of whether the alcohol was adulterated with quinine or not. Additionally, a high dose of RTI-122 reduced yohimbine-induced reinstatement. Importantly, RTI-122 did not affect water intake in mice or sucrose self-administration in rats, indicating receptor- and reward-specific modulation of alcohol intake. These findings suggest that RTI-122, through GPR88 agonism, effectively reduces alcohol consumption and motivation across various contexts, positioning it as a promising lead for the development of new AUD treatments.

GPR88是一种主要在纹状体中表达的孤儿G蛋白偶联受体,由于其在调节奖励和动机通路中的作用,已成为治疗酒精使用障碍(AUD)的潜在靶点。在本研究中,我们研究了GPR88激动剂RTI-122在不同条件下对酒精摄入和自我饮酒动机的影响。在小鼠中,RTI-122在两瓶选择范式中减少了酒精消耗,这被Gpr88敲除所阻止,证实了Gpr88对饮酒衰减的特异性作用。在大鼠中,RTI-122剂量依赖性地减少了操作性酒精自我给药,并降低了进行性比例任务中自我给药的动机,无论酒精是否掺入奎宁。此外,高剂量RTI-122可减少育亨宾诱导的恢复。重要的是,RTI-122不影响小鼠的饮水量或大鼠的蔗糖自我给药,表明受体和奖励特异性调节酒精摄入。这些发现表明,RTI-122通过GPR88的激动作用,有效地减少了各种情况下的酒精消耗和动机,将其定位为开发新的AUD治疗方法的有希望的先导。
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引用次数: 0
Longitudinal and Concurrent Changes in Brain and Gut due to Morphine Self-Administration 吗啡自我给药引起的脑和肠道的纵向和并发变化
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-10 DOI: 10.1111/adb.70059
Kaylee Brunetti, Zicong Zhou, Samia Shuchi, Raymond Berry, Sabrina White, Yan Zhang, Michael S. Allen, Shaohua Yang, Johnny D. Figueroa, Luis Colon-Perez

Opioid agonists are known for their effects on the opioid and dopaminergic systems; however, new research points to complementary changes in the gut underlying maladaptive changes associated with opioid use. The gut–brain axis (GBA) is a bidirectional signaling process that permits feedback between the brain and gut and is altered in subjects with opioid use disorders, but the spatiotemporal correspondence between quantitative translational measures of gut and brain health is not clear. In this work, we determined longitudinal and concurrent changes in the brain and gut of rodents trained to self-administer morphine for 14 days. Active lever presses delivered a single infusion of morphine (0.4 mg/kg/infusion). We used MRI and 16s rDNA analysis of faecal matter to identify changes from baseline (naïve, nondrug state) to an acute phase (early in the self-administration process, after 2 days of self-administration) and a chronic phase (late in the self-administration process, after 14 days of self-administration). Animals were scanned in a 7T MRI scanner three times (baseline, acute and chronic), and before scanning, faecal matter was collected from each rat. We found early changes in gut microbiota diversity and specific abundance as early as the acute phase that persisted into the chronic phase. In MRI, we identified alterations in diffusivity indices both within subjects and between groups, showing a main effect in the striatum and thalamus. We posit that gut changes precede the effects observed in MRI, with the striatum and thalamus emerging as crucial links mediating communication between the gut and the brain.

阿片激动剂以其对阿片和多巴胺能系统的影响而闻名;然而,新的研究指出,肠道的补充变化与阿片类药物使用相关的不适应变化有关。肠脑轴(GBA)是一个双向信号过程,允许大脑和肠道之间的反馈,并且在阿片类药物使用障碍的受试者中发生改变,但肠道和大脑健康的定量转化测量之间的时空对应关系尚不清楚。在这项工作中,我们测定了老鼠大脑和肠道的纵向和同步变化,这些老鼠被训练自我使用吗啡14天。主动杠杆按压单次注射吗啡(0.4 mg/kg/次)。我们使用MRI和16s rDNA对粪便进行分析,以确定从基线(naïve,非药物状态)到急性期(自我给药过程早期,自我给药2天后)和慢性期(自我给药过程晚期,自我给药14天后)的变化。动物在7T MRI扫描仪中扫描三次(基线,急性和慢性),扫描前收集每只大鼠的粪便。我们发现肠道微生物群多样性和特定丰度的早期变化早在急性期就持续到慢性期。在MRI中,我们确定了受试者内部和组间扩散指数的变化,显示纹状体和丘脑的主要影响。我们假设肠道变化先于MRI观察到的影响,纹状体和丘脑成为肠道和大脑之间沟通的关键环节。
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引用次数: 0
Ovarian Hormones and Addictive Behaviour Vulnerability: Insights From Preclinical Studies 卵巢激素和成瘾行为脆弱性:来自临床前研究的见解
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-08 DOI: 10.1111/adb.70046
Leonardo Vázquez-Morales, Gisela Aguirre, Tania Molina-Jiménez, Rossana C. Zepeda, Óscar López-Franco, Mónica Flores-Muñoz, Claudia Juárez-Portilla

Substance use disorder constitutes a global health challenge. Preclinical investigations into addiction heavily rely on animal models to explore the underlying biological mechanisms of addictive disorders, with a particular emphasis on understanding the etiological factors influencing drug intake. Exploring sex differences across various phases of addiction has revealed a heightened vulnerability in females. This study systematically reviews the impact of ovarian hormones on the consumption of psychoactive substances in rodents, adhering to the PRISMA 2009 protocol. Our findings underscore the significant role of ovarian hormones, particularly oestrogen, in augmenting drug consumption among female rodents. Notably, with heroin, it was observed that progesterone, rather than oestrogen, facilitated increased consumption in female rodents. The susceptibility to addiction influenced by oestrogen is accentuated across distinct phases, and the molecular mechanisms form a complex interplay that significantly influences addictive behaviours. By bringing together these findings, we aim to establish a strong foundation for future studies. This work may guide clinical investigations in developing more effective prevention or treatment strategies that address the unique vulnerabilities of females to substance use disorders.

物质使用障碍是一项全球性的健康挑战。成瘾的临床前研究在很大程度上依赖于动物模型来探索成瘾障碍的潜在生物学机制,特别强调了解影响药物摄入的病因学因素。通过对成瘾不同阶段的性别差异的探索,我们发现女性更容易上瘾。本研究系统地回顾了卵巢激素对啮齿动物精神活性物质消费的影响,遵循PRISMA 2009协议。我们的研究结果强调了卵巢激素,特别是雌激素,在增加雌性啮齿动物的药物消耗方面的重要作用。值得注意的是,对于海洛因,观察到黄体酮,而不是雌激素,促进了雌性啮齿动物对海洛因的消耗。受雌激素影响的成瘾易感性在不同的阶段被强化,分子机制形成复杂的相互作用,显著影响成瘾行为。通过汇集这些发现,我们的目标是为未来的研究奠定坚实的基础。这项工作可以指导临床调查,以制定更有效的预防或治疗策略,解决女性对物质使用障碍的独特脆弱性。
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引用次数: 0
Toward a Translational Model of Sex-Associated Pavlovian Phenotypes 性别相关巴甫洛夫表型的翻译模型
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-02 DOI: 10.1111/adb.70054
Luigi A. E. Degni, Sara Garofalo

A recent study by Hakus et al. (2025) demonstrated sex-associated differences in Pavlovian phenotypes in rodents, with females more likely to exhibit sign-tracking behaviour and males more likely to exhibit goal-tracking behaviour. In the present work, we provide evidence that similar patterns emerge in humans. Using a validated eye-tracking procedure in a Pavlovian learning paradigm, we show that women are more frequently classified as sign-trackers and quantitatively show greater sign-tracking behaviour than men in a large human sample. These results support the translational value of preclinical findings and highlight the importance of considering sex differences in incentive salience attribution. Given the established link between sign-trackers and addiction vulnerability, our findings may help refine our understanding of individual risk factors in the development of such disorders.

Hakus等人(2025)最近的一项研究表明,啮齿类动物的巴甫洛夫表型存在性别相关差异,雌性更有可能表现出符号跟踪行为,而雄性更有可能表现出目标跟踪行为。在目前的工作中,我们提供了人类出现类似模式的证据。在巴甫洛夫学习范式中,我们使用了一种经过验证的眼球追踪程序,我们发现在一个大的人类样本中,女性更经常被归类为手势追踪者,并且在数量上比男性表现出更大的手势追踪行为。这些结果支持临床前研究结果的转化价值,并强调了在激励显著性归因中考虑性别差异的重要性。鉴于信号追踪器和成瘾易感性之间的既定联系,我们的发现可能有助于完善我们对此类疾病发展中的个体风险因素的理解。
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引用次数: 0
Alcoholic Hepatitis in a Japanese Hospital: Losing Contact With Some Patients After Delirium Tremens May Lead to Missed Critical Events 日本一家医院的酒精性肝炎:与震颤谵妄后的一些患者失去联系可能导致错过关键事件
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-02 DOI: 10.1111/adb.70052
Hisanori Muto, Teiji Kuzuya, Yoshihiko Tachi, Yoshiaki Katano, Naoki Ohmiya, Takashi Kobayashi, Satoshi Yamamoto, Naoto Kawabe, Hijiri Sugiyama, Seiya Hagihara, Misae Matsushita, Yutaro Kajino, Yosuke Nagano, Senju Hashimoto

In Japan, the establishment of diagnostic criteria for acute-on-chronic liver failure (ACLF) in 2022 has increased the focus on alcoholic hepatitis. Most hospitals in Japan lack specialized treatment units or psychiatrists for managing alcohol use disorders, leaving hepatologists to handle various aspects of the disease—a challenging task. This study retrospectively investigated the outcomes of alcoholic hepatitis in a typical Japanese hospital setting, stratified by ACLF diagnosis and other features, with the aim of identifying areas for possible improvement. We conducted a retrospective analysis of 88 patients hospitalized with alcoholic hepatitis, reviewing records for the diagnosis of ACLF or related conditions, development of delirium tremens (DT), risk factors, and patient outcomes. Patients meeting the Japanese criteria for ACLF or related conditions had significantly worse survival outcomes. DT developed in 13 patients, with low platelet counts and elevated γ-glutamyl transpeptidase levels identified as risk factors. Prophylactic oral benzodiazepines were found safe and significantly associated with preventing DT. Onset of DT during hospitalization did not measurably impact survival prognosis, but DT patients showed a tendency to break contact with our hospital and critical events may have been missed. While under hepatologist care, patients typically maintained sobriety, but relapse into alcohol-related health problems frequently occurred after follow-up was discontinued. In Japan, hepatologists may be missing important events with alcoholic hepatitis after follow-up discontinuation, especially in patients with DT. Therefore, integrated and collaborative care, particularly a psychosocial approach providing behavioural support, may reduce risk of relapse and improve patient prognosis.

Trial Registration:

All study protocols were reviewed and approved by the ethics committee at Fujita Health University School of Medicine (approval no. HM23-213)

在日本,2022年建立的急性慢性肝衰竭(ACLF)诊断标准增加了对酒精性肝炎的关注。日本的大多数医院都缺乏专门的治疗部门或精神科医生来治疗酒精使用障碍,这使得肝病学家不得不处理这种疾病的各个方面——这是一项具有挑战性的任务。本研究回顾性调查了日本一家典型医院的酒精性肝炎的预后,根据ACLF诊断和其他特征进行分层,目的是确定可能改善的领域。我们对88例酒精性肝炎住院患者进行了回顾性分析,回顾了ACLF或相关疾病的诊断记录、震颤谵妄(DT)的发展、危险因素和患者结局。满足日本ACLF标准或相关条件的患者生存结果明显较差。13例患者发生DT,血小板计数低和γ-谷氨酰转肽酶水平升高被确定为危险因素。预防性口服苯二氮卓类药物被发现是安全的,并与预防DT显著相关。住院期间DT发病对生存预后无显著影响,但DT患者有与我院断绝联系的倾向,可能错过了关键事件。在肝病专家的护理下,患者通常保持清醒,但在随访停止后,经常发生与酒精相关的健康问题复发。在日本,肝病学家在随访停止后可能会遗漏酒精性肝炎的重要事件,特别是在DT患者中。因此,综合和协作护理,特别是提供行为支持的社会心理方法,可以降低复发风险并改善患者预后。试验注册 : 综述了所有研究协议,经伦理委员会批准Fujita健康大学医学院(批准号hm23 - 213)
{"title":"Alcoholic Hepatitis in a Japanese Hospital: Losing Contact With Some Patients After Delirium Tremens May Lead to Missed Critical Events","authors":"Hisanori Muto,&nbsp;Teiji Kuzuya,&nbsp;Yoshihiko Tachi,&nbsp;Yoshiaki Katano,&nbsp;Naoki Ohmiya,&nbsp;Takashi Kobayashi,&nbsp;Satoshi Yamamoto,&nbsp;Naoto Kawabe,&nbsp;Hijiri Sugiyama,&nbsp;Seiya Hagihara,&nbsp;Misae Matsushita,&nbsp;Yutaro Kajino,&nbsp;Yosuke Nagano,&nbsp;Senju Hashimoto","doi":"10.1111/adb.70052","DOIUrl":"https://doi.org/10.1111/adb.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>In Japan, the establishment of diagnostic criteria for acute-on-chronic liver failure (ACLF) in 2022 has increased the focus on alcoholic hepatitis. Most hospitals in Japan lack specialized treatment units or psychiatrists for managing alcohol use disorders, leaving hepatologists to handle various aspects of the disease—a challenging task. This study retrospectively investigated the outcomes of alcoholic hepatitis in a typical Japanese hospital setting, stratified by ACLF diagnosis and other features, with the aim of identifying areas for possible improvement. We conducted a retrospective analysis of 88 patients hospitalized with alcoholic hepatitis, reviewing records for the diagnosis of ACLF or related conditions, development of delirium tremens (DT), risk factors, and patient outcomes. Patients meeting the Japanese criteria for ACLF or related conditions had significantly worse survival outcomes. DT developed in 13 patients, with low platelet counts and elevated γ-glutamyl transpeptidase levels identified as risk factors. Prophylactic oral benzodiazepines were found safe and significantly associated with preventing DT. Onset of DT during hospitalization did not measurably impact survival prognosis, but DT patients showed a tendency to break contact with our hospital and critical events may have been missed. While under hepatologist care, patients typically maintained sobriety, but relapse into alcohol-related health problems frequently occurred after follow-up was discontinued. In Japan, hepatologists may be missing important events with alcoholic hepatitis after follow-up discontinuation, especially in patients with DT. Therefore, integrated and collaborative care, particularly a psychosocial approach providing behavioural support, may reduce risk of relapse and improve patient prognosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration:</h3>\u0000 \u0000 <p>All study protocols were reviewed and approved by the ethics committee at Fujita Health University School of Medicine (approval no. HM23-213)</p>\u0000 </section>\u0000 </div>","PeriodicalId":7289,"journal":{"name":"Addiction Biology","volume":"30 6","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adb.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cerebrospinal Fluid Biomarkers in Opioid Dependence: Evidence of Neuroimmune Activation and Ion Composition Changes, Without Alteration in Orexin-A 阿片类药物依赖的脑脊液生物标志物:神经免疫激活和离子组成变化的证据,不改变食欲素- a
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-06-02 DOI: 10.1111/adb.70053
Tim Lyckenvik, Malin Woock, Kalle Johansson, Markus Axelsson, Henrik Zetterberg, Kaj Blennow, Eric Hanse, Pontus Wasling

Opioid abuse is a severe global health challenge, leading to rising morbidity, mortality, and increasing societal costs. The aim of this study was to investigate neuroinflammation, neuronal damage and potential changes in the orexin system or beta-amyloid metabolism in the cerebrospinal fluid (CSF) of individuals undergoing opioid substitution therapy (OST). This cross-sectional study investigates CSF biomarkers in individuals undergoing OST, compared to control subjects. Participants receiving OST were recruited from the outpatient clinic at the Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg (Sweden). Each participant provided a complete medical history, including details of drug use over the past 6 months, followed by a lumbar puncture to obtain CSF samples. Molecules associated with neuroinflammation, neuronal and glial damage, beta-amyloid metabolism and orexinergic function were analysed in the participants' CSF, alongside electrolyte levels. Specifically, we analysed levels of sTREM-2, YKL-40, IL-1β, IL-6, IL-8, IL-10, TNF-α, AXL, MER, TYRO3, GAS6, NfL, GFAP, total tau (T-tau), phosphorylated tau (P-tau), neurogranin, Aβ40, Aβ42, the Aβ42/Aβ40 ratio, orexin-A, sPDGFR-β and electrolytes. The study included 15 control subjects and 17 in the opioid substitution group. Patients undergoing opioid substitution therapy exhibited elevated levels of sTREM-2, Aβ42/Aβ40 ratio and NfL in their CSF. Conversely, concentrations of Na+ and Cl were lower compared to controls. No significant differences were found between groups for other biomarkers, including orexin-A. However, when normalized to Aβ40 levels, YKL-40, IL-8, TYRO3 and P-Tau were also elevated in individuals with opioid dependence. Elevated biomarkers of neuroimmune activation, neuronal damage and beta-amyloid metabolism in opioid dependence suggest CNS inflammation as a contributor to its pathophysiology. Reduced electrolyte levels imply disrupted CSF water regulation, possibly linked to impaired glial function. These findings highlight both neural and non-neural mechanisms in opioid dependence.

阿片类药物滥用是一项严重的全球健康挑战,导致发病率和死亡率上升,并增加社会成本。本研究的目的是研究接受阿片替代治疗(OST)的个体的神经炎症、神经元损伤和脑脊液(CSF)中食欲素系统或β -淀粉样蛋白代谢的潜在变化。本横断面研究调查了与对照组相比,接受OST的个体的脑脊液生物标志物。接受OST的参与者是从哥德堡(瑞典)萨尔格伦斯卡大学医院精神科门诊招募的。每位参与者提供了完整的病史,包括过去6个月的药物使用细节,随后进行腰椎穿刺以获取CSF样本。研究人员分析了参与者脑脊液中与神经炎症、神经元和神经胶质损伤、β -淀粉样蛋白代谢和食欲能功能相关的分子,以及电解质水平。具体来说,我们分析了sTREM-2、YKL-40、IL-1β、IL-6、IL-8、IL-10、TNF-α、AXL、MER、TYRO3、GAS6、NfL、GFAP、总tau (T-tau)、磷酸化tau (P-tau)、神经颗粒蛋白、Aβ40、Aβ42、Aβ42/Aβ40比值、食欲素- a、sPDGFR-β和电解质的水平。该研究包括15名对照组和17名阿片类药物替代组。接受阿片类药物替代治疗的患者脑脊液中sTREM-2、a - β42/ a - β40比值和NfL水平升高。相反,Na+和Cl−的浓度低于对照组。其他生物标志物,包括食欲素- a,在两组之间没有发现显著差异。然而,当正常化到Aβ40水平时,阿片类药物依赖个体的YKL-40、IL-8、TYRO3和P-Tau也升高。阿片类药物依赖中神经免疫激活、神经元损伤和β -淀粉样蛋白代谢的生物标志物升高表明中枢神经系统炎症是其病理生理的一个贡献者。电解质水平降低意味着脑脊液水调节被破坏,可能与神经胶质功能受损有关。这些发现强调了阿片类药物依赖的神经和非神经机制。
{"title":"Cerebrospinal Fluid Biomarkers in Opioid Dependence: Evidence of Neuroimmune Activation and Ion Composition Changes, Without Alteration in Orexin-A","authors":"Tim Lyckenvik,&nbsp;Malin Woock,&nbsp;Kalle Johansson,&nbsp;Markus Axelsson,&nbsp;Henrik Zetterberg,&nbsp;Kaj Blennow,&nbsp;Eric Hanse,&nbsp;Pontus Wasling","doi":"10.1111/adb.70053","DOIUrl":"https://doi.org/10.1111/adb.70053","url":null,"abstract":"<p>Opioid abuse is a severe global health challenge, leading to rising morbidity, mortality, and increasing societal costs. The aim of this study was to investigate neuroinflammation, neuronal damage and potential changes in the orexin system or beta-amyloid metabolism in the cerebrospinal fluid (CSF) of individuals undergoing opioid substitution therapy (OST). This cross-sectional study investigates CSF biomarkers in individuals undergoing OST, compared to control subjects. Participants receiving OST were recruited from the outpatient clinic at the Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg (Sweden). Each participant provided a complete medical history, including details of drug use over the past 6 months, followed by a lumbar puncture to obtain CSF samples. Molecules associated with neuroinflammation, neuronal and glial damage, beta-amyloid metabolism and orexinergic function were analysed in the participants' CSF, alongside electrolyte levels. Specifically, we analysed levels of sTREM-2, YKL-40, IL-1β, IL-6, IL-8, IL-10, TNF-α, AXL, MER, TYRO3, GAS6, NfL, GFAP, total tau (T-tau), phosphorylated tau (P-tau), neurogranin, Aβ40, Aβ42, the Aβ42/Aβ40 ratio, orexin-A, sPDGFR-β and electrolytes. The study included 15 control subjects and 17 in the opioid substitution group. Patients undergoing opioid substitution therapy exhibited elevated levels of sTREM-2, Aβ42/Aβ40 ratio and NfL in their CSF. Conversely, concentrations of Na<sup>+</sup> and Cl<sup>−</sup> were lower compared to controls. No significant differences were found between groups for other biomarkers, including orexin-A. However, when normalized to Aβ40 levels, YKL-40, IL-8, TYRO3 and P-Tau were also elevated in individuals with opioid dependence. Elevated biomarkers of neuroimmune activation, neuronal damage and beta-amyloid metabolism in opioid dependence suggest CNS inflammation as a contributor to its pathophysiology. Reduced electrolyte levels imply disrupted CSF water regulation, possibly linked to impaired glial function. These findings highlight both neural and non-neural mechanisms in opioid dependence.</p>","PeriodicalId":7289,"journal":{"name":"Addiction Biology","volume":"30 6","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adb.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Potential Use of Cannabidiol in the Treatment of Opioid Use Disorder: A Systematic Review 大麻二酚在阿片类药物使用障碍治疗中的潜在应用:系统综述
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-05-25 DOI: 10.1111/adb.70047
Mahan Shafie, Kevin Ing, Yasna Rostam-Abadi, Jeremy Weleff, Mackenzie Griffin, Mohini Ranganathan, Ardavan Mohammad Aghaei, Nicholas Pratt, Melissa C. Funaro, Anahita Bassir Nia

Cannabidiol (CBD) has emerged as a potential treatment option for various psychiatric disorders, including substance use disorders. This systematic review is aimed at reviewing the evidence regarding the safety and efficacy of CBD as a therapeutic option in opioid use disorder (OUD) treatment in clinical and preclinical studies. We searched MEDLINE, Embase, PsycINFO, Scopus, Web of Science, CDSR and CENTRAL up to December 2023. We included original peer-reviewed human and animal studies evaluating CBD for OUD outcomes and excluded those that did not report OUD outcomes or used CBD solely with THC. The risk of bias was assessed with the Cochrane risk-of-bias tool for human studies and SYRCLE's tool for animal studies. Due to outcome heterogeneity, findings were presented using a qualitative synthesis. Four clinical studies (74 participants) and 16 preclinical studies met the inclusion criteria. The collective evidence from clinical and preclinical studies indicates that CBD holds promise as an adjunctive therapy for OUD with a well-tolerated profile during opioid use and withdrawal. Human clinical studies demonstrated a reduction in craving and alleviation of abstinence-induced anxiety. In preclinical studies, CBD has been shown to reduce withdrawal symptoms and diminish opioid-rewarding effects using the conditioned place preference paradigm, although the results are mixed, and not all preclinical studies reported these effects. The quality assessment for clinical studies indicated an overall evaluation of ‘some concerns’, while a notable level of ‘unclear’ risk was observed across the evaluated domains for preclinical studies. This systematic review highlights the potential of CBD as a beneficial treatment option for addressing cravings and anxiety symptoms during abstinence in individuals with OUD, based on findings from human studies. Continued research and clinical trials will be essential for further improving outcomes in OUD treatment using novel effective treatment approaches. Study limitations include the limited number of clinical studies, small sample size, short-term follow-up, lack of combination therapy and heterogeneity across preclinical studies.

Trial Registration

PROSPERO identifier: CRD42023401446

大麻二酚(CBD)已成为各种精神疾病(包括物质使用障碍)的潜在治疗选择。本系统综述旨在回顾临床和临床前研究中CBD作为阿片类药物使用障碍(OUD)治疗选择的安全性和有效性的证据。我们检索了截至2023年12月的MEDLINE、Embase、PsycINFO、Scopus、Web of Science、CDSR和CENTRAL。我们纳入了评估CBD对OUD结果的原始同行评议的人类和动物研究,并排除了那些没有报告OUD结果或仅使用CBD与四氢大麻酚的研究。使用Cochrane人类研究的偏倚风险工具和sycle动物研究的偏倚风险工具评估偏倚风险。由于结果的异质性,研究结果采用定性综合。4项临床研究(74名受试者)和16项临床前研究符合纳入标准。来自临床和临床前研究的集体证据表明,CBD有望作为一种辅助治疗OUD,在阿片类药物使用和戒断期间具有良好的耐受性。人类临床研究表明,减少渴望和缓解戒断引起的焦虑。在临床前研究中,使用条件位置偏好范式,CBD已被证明可以减少戒断症状和减少阿片奖励效应,尽管结果好坏参半,并且并非所有临床前研究都报告了这些效果。临床研究的质量评估表明了对“一些问题”的总体评估,而在临床前研究的评估领域中观察到一个显著的“不清楚”风险水平。本系统综述强调了基于人类研究结果的CBD作为一种有益的治疗选择的潜力,用于解决OUD患者在戒断期间的渴望和焦虑症状。持续的研究和临床试验对于使用新的有效治疗方法进一步改善OUD治疗的结果至关重要。研究的局限性包括临床研究数量有限、样本量小、随访时间短、缺乏联合治疗以及临床前研究的异质性。试验注册PROSPERO标识符:CRD42023401446
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引用次数: 0
A Selective GSK3β Inhibitor, Tideglusib, Decreases Intermittent Access and Binge Ethanol Self-Administration in C57BL/6J Mice 选择性GSK3β抑制剂Tideglusib减少C57BL/6J小鼠的间歇性获取和暴饮乙醇自我给药
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-05-19 DOI: 10.1111/adb.70044
Sam Gottlieb, Andrew van der Vaart, Annalise Hassan, Douglas Bledsoe, Alanna Morgan, Brennen O'Rourke, Walker D. Rogers, Jennifer T. Wolstenholme, Michael F. Miles

Over 10% of the US population over 12 years old meets criteria for alcohol use disorder (AUD), yet few effective, long-term treatments are currently available. Glycogen synthase kinase 3-beta (GSK3β) has been implicated in ethanol behaviours and poses as a potential therapeutic target in the treatment of AUD. Here, we investigated the preclinical evidence for tideglusib, a clinically available selective GSK3β inhibitor, in modulating chronic and binge ethanol consumption. Tideglusib decreased ethanol consumption in both a model of daily, progressive ethanol intake (two-bottle choice, intermittent ethanol access) and binge-like drinking behaviour (drinking in the dark) without effecting water intake. With drinking in the dark, tideglusib was more potent in males (ED50 = 64.6, CI = 58.9–70.8) than females (ED50 = 79.4, CI = 70.8–93.3). Further, we found tideglusib had no effect on ethanol pharmacokinetics, taste preference or anxiety-like behaviour, although there was a transient increase in total locomotion following treatment. Additionally, tideglusib treatment did not alter liver function as measured by serum activity of alanine aminotransferase and aspartate aminotransferase but did cause a decrease in serum alkaline phosphatase activity. RNA sequencing analysis of tideglusib actions on ethanol consumption revealed alterations in genes involved in synaptic plasticity and transmission, as well as genes downstream of the canonical Wnt signalling pathway, suggesting tideglusib may modulate ethanol consumption via β-catenin binding to the transcription factors TCF3 and LEF1. The data presented here further implicate GSK3β in alcohol consumption and support the use of tideglusib as a potential therapeutic in the treatment of AUD.

超过10%的美国12岁以上人口符合酒精使用障碍(AUD)的标准,但目前很少有有效的长期治疗方法。糖原合成酶激酶3- β (GSK3β)与乙醇行为有关,是治疗AUD的潜在治疗靶点。在这里,我们研究了tideglusib的临床前证据,tideglusib是一种临床可用的选择性GSK3β抑制剂,可调节慢性和暴饮乙醇消耗。Tideglusib在不影响水摄入量的情况下,降低了每日渐进乙醇摄入(两瓶选择,间歇性乙醇获取)和酗酒行为(在黑暗中饮用)模型中的乙醇消耗。在黑暗中饮酒时,tideglusib在男性中的效力(ED50 = 64.6, CI = 58.9-70.8)高于女性(ED50 = 79.4, CI = 70.8-93.3)。此外,我们发现tideglusib对乙醇药代动力学、味觉偏好或焦虑样行为没有影响,尽管在治疗后总运动有短暂的增加。此外,通过血清丙氨酸转氨酶和天冬氨酸转氨酶活性测定,tideglusib治疗没有改变肝功能,但确实导致血清碱性磷酸酶活性降低。对tideglusib对乙醇消耗作用的RNA测序分析显示,参与突触可塑性和传递的基因以及典型Wnt信号通路下游基因发生了改变,表明tideglusib可能通过β-catenin结合转录因子TCF3和LEF1来调节乙醇消耗。本研究的数据进一步表明GSK3β与饮酒有关,并支持使用tideglusib作为治疗AUD的潜在药物。
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引用次数: 0
The Phase-Amplitude Coupling Changes Induced by Smoking Cue After 12-H Abstinence in Young Smokers 戒烟12 h后吸烟提示引起的相幅耦合变化
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-05-19 DOI: 10.1111/adb.70048
Zhiwei Ren, Juan Wang, Yongxin Cheng, Yuxin Ma, Youwei Dong, Yiming Lu, Ting Xue, Gengdi Huang, Dahua Yu, Fang Dong, Kai Yuan

Tobacco use causes more than 8 million deaths globally each year, and the number of younger smokers is growing. It is of great practical importance to explore the underlying neural mechanisms behind the behaviour of young smokers. During cue-induced craving, reward system in the brain generates neural oscillations at specific frequencies. The phase–amplitude coupling (PAC) can capture interactions between these frequencies and may be a more sensitive quantitative indicator for characterizing abnormal neural oscillations in smokers. We monitored the electroencephalography (EEG) data of 30 young smokers during a cue task after 12 h of abstinence, dividing the data into the neutral and smoking-related groups based on different experimental stimuli to analyse the relationship between PAC and craving. In addition, we computed the functional connectivity (FC) under the PAC mechanism. The results showed that the young smokers exposed to smoking-related cues under short-term abstinence conditions had significantly lower PAC values and reduced FC strength in the right prefrontal cortex. In contrast, there was a significant increase in PAC values in the parietal cortex and enhanced FC strength. The correlation analysis showed significant correlations between PAC values and craving. These findings demonstrate for the first time that PAC abnormalities in young smokers exposed to smoking-related cues under short-term abstinence conditions may be related to craving and inhibitory control.

烟草使用每年在全球造成800多万人死亡,年轻吸烟者的人数正在增加。探索年轻吸烟者行为背后的潜在神经机制具有重要的实际意义。在线索诱导的渴求过程中,大脑中的奖赏系统会产生特定频率的神经振荡。相幅耦合(PAC)可以捕获这些频率之间的相互作用,可能是表征吸烟者异常神经振荡的更敏感的定量指标。我们监测了30名年轻吸烟者在戒烟12小时后的提示任务中的脑电图(EEG)数据,并根据不同的实验刺激将数据分为中性组和吸烟相关组,分析PAC与渴望之间的关系。此外,我们计算了PAC机制下的功能连通性(FC)。结果表明,短期戒烟条件下暴露于吸烟相关线索的年轻吸烟者的右前额叶皮层PAC值显著降低,FC强度显著降低。相反,顶叶皮质PAC值显著升高,FC强度增强。相关分析显示,PAC值与渴望程度呈显著相关。这些发现首次证明,短期戒烟条件下暴露于吸烟相关线索的年轻吸烟者的PAC异常可能与渴望和抑制控制有关。
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引用次数: 0
Abnormal Cortical Thickness Development in Young Adults With Heavy Cannabis Use: A Longitudinal Study 大量使用大麻的年轻人皮质厚度发育异常:一项纵向研究
IF 3.1 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-05-08 DOI: 10.1111/adb.70040
Wei Li, Cheng Xu, Hanyuan Xu, Bo Yin, Hui Xu, Dandong Li

Cannabis is one of the most commonly used illicit drugs worldwide, with its prolonged use potentially leading to various cognitive impairments and brain structural changes. However, current research on the dynamic changes in cortical thickness (CT) related to cannabis use remains limited, especially regarding the relationship between the severity of cannabis use and CT changes in heavy cannabis use (HCU). This study employed a longitudinal design to investigate CT changes in young adults with HCU from baseline (BL) to 3-year follow-up (FU). The results showed a significant group effect in the left lateral orbitofrontal cortex (OFC), and a significant time effect revealed CT changes in several brain regions, including the left lateral frontal cortex, bilateral medial frontal cortex, bilateral posterior cingulate cortex and bilateral insula. Simple effects analysis further demonstrated that the CT of left lateral OFC in young adults with HCU decreased significantly at FU compared with their BL and was also lower than control group at FU. Furthermore, a significant positive correlation was observed between the total score of Cannabis Use Disorders Identification Test at FU and the CT of left lateral OFC. These findings suggest that prolonged cannabis use may disrupt the structural integrity of the left lateral OFC, impairing decision-making, impulse control and emotional processing, thereby exacerbating addictive behaviours. This study provides key evidence for understanding the neural mechanisms underlying cannabis addiction.

大麻是世界上最常用的非法药物之一,长期使用可能导致各种认知障碍和大脑结构变化。然而,目前关于大麻使用相关皮质厚度(CT)动态变化的研究仍然有限,特别是关于大麻使用严重程度与重度大麻使用(HCU) CT变化之间的关系。本研究采用纵向设计来调查年轻成年HCU患者从基线(BL)到3年随访(FU)的CT变化。结果显示左侧外侧眶额皮质(OFC)有明显的群体效应,左侧外侧额皮质、双侧内侧额皮质、双侧扣带回后皮质和双侧脑岛等多个脑区CT改变均有明显的时间效应。简单效应分析进一步表明,年轻成年HCU患者在FU时左外侧OFC的CT值较其BL显著降低,也低于对照组。此外,FU大麻使用障碍识别测试总分与左侧OFC CT呈显著正相关。这些发现表明,长期使用大麻可能会破坏左侧OFC的结构完整性,损害决策、冲动控制和情绪处理,从而加剧成瘾行为。这项研究为理解大麻成瘾的神经机制提供了关键证据。
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Addiction Biology
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